This is a condition in which urine is excreted regardless of time and place, regardless of one's will. About 30% of women and 40-50% of the elderly over 65 years of age have this condition. When urine accumulates, the bladder expands and the urethral sphincter contracts reflexively to tighten the bladder inlet and prevent urine from leaking. When the amount of urine increases to a certain extent, contraction is controlled through the sensory nerves distributed in the bladder wall, allowing urination. In other words, when a signal comes from the brain, the bladder wall contracts and, conversely, the urethral sphincter relaxes, allowing urine to be excreted. In order for normal bladder function to occur, the bladder, urethral sphincter, and nervous system must all function without problems, but if there is a problem in any of these, urinary incontinence occurs.
Stress urinary incontinence
This is the most common type, accounting for about 50%.It occurs when the bladder contracts and the urethral sphincter muscle relaxes when the stomach is involuntarily strained, such as when coughing, sneezing, jumping rope, or laughing. It can occur frequently after childbirth, during menopause, obesity, or asthma.
Urge incontinence
It accounts for about 20% of cases , and symptoms include sudden urge to urinate, inability to hold it in before reaching the bathroom, or inability to hold it in . It occurs when the bladder tubes contract on their own even before the bladder is full of urine, and is often caused by diseases such as cystitis, diabetes, bladder outlet obstruction, or autonomic nervous system malfunction.
therapy
Treatment for the most common stress urinary incontinence in women includes nonsurgical treatments such as drug therapy, pelvic floor muscle exercise, electrical stimulation therapy, biofeedback, and extracorporeal electrical field therapy, but the recurrence rate is higher than that of surgical treatment. However, recently, the effectiveness of drug treatment has increased due to the development of various drugs, and if urinary incontinence exercises are performed consistently, a certain degree of symptom improvement can be expected.
Drug treatment
Stabilizes smooth muscles of the bladder and strengthens contractility of the urethral sphincter
Pelvic muscle training (Kegel exercise)
Training to restore weakened pelvic muscles and vaginal elasticity
Electrical stimulation therapy
A method of restoring contractile strength and elasticity by applying electrical stimulation to the pelvic muscles, which is particularly effective for frequent urination or urgency.
Biofeedback therapy
A behavioral therapy method that uses a machine to help you feel the contraction of your pelvic floor muscles and your urinary muscles.
Sling surgery
A method of restoring the function of the urethral sphincter by lifting the bladder neck upward using the fascia surrounding the abdominal muscles, vaginal tissue, or synthetic materials.
laparotomy
A method of correcting loose tissue around the urethra by making an incision in the lower abdominal skin and tying it with thread.
Laparoscopic surgery
A method of correcting loose bladder urethral tissue by inserting a laparoscope through three small holes in the abdomen and tying it with thread.
Perirethral injection
This is performed when the function of the urethra itself is reduced by injecting substances such as silicone collagen around the urethra to increase the pressure in the urethra.
TVT/TOT surgery
A method of inserting a biotape into the vagina, lifting the urethra, and hanging the tape on the abdomen.
prevention
"Prevent urinary incontinence with regular exercise and proper eating habits for a healthy tomorrow" Since obesity and aging are the causes of stress urinary incontinence, it is important to maintain and manage an appropriate weight with proper eating habits and regular exercise. In addition, since childbirth affects urinary incontinence, it is recommended to continue pelvic muscle exercises after giving birth. Also, to prevent urge urinary incontinence, avoid squatting when working and avoid spicy and salty foods, coffee, and carbonated drinks that stimulate the bladder.